person
Mrs. Kelli Lugo, PA
Surgical Physician Assistant in Port St Lucie, Florida
NPI 1245248426

Kelli Lugo is a Surgical Physician Assistant based in Port St Lucie, FL and is specialized in Surgical. Kelli Lugo practices in Port St Lucie, FL and has the professional credentials of PA. The NPI Number for Kelli Lugo is 1245248426 and holds a License No. PA9107919 (Florida).

The current practice location address for Kelli Lugo is 9077 S Federal Hwy, Port St Lucie, FL and can be reached out via phone at 772-335-4770 and via fax at 772-335-4133. You can also correspond with Kelli Lugo through the mailing address at 9077 S FEDERAL HWY, PORT ST LUCIE, FL - 34952-3405 (mailing address contact number: 772-398-7336).

Location: 9077 S Federal Hwy, Port St Lucie, FL, 34952-3405
person
Provider Profile Details
NPI Number
1245248426
Provider Name
Kelli Lugo
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
9077 S Federal Hwy, Port St Lucie, FL, 34952-3405
Phone Number
772-335-4770
Fax Number
772-335-4133
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OPA174151 01 FL MEDICARE IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
9077 S Federal Hwy
City
State
Zip
34952-3405
Phone Number
772-335-4770
Fax Number
772-335-4133
person
Provider Business Mailing Address Details
Address
9077 S Federal Hwy
City
State
Zip
34952-3405
Phone Number
772-335-4770
Fax Number
772-335-4133
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9107919 (Florida)
Definition
Definition to come...
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